课件Health and Medical care.ppt

Health and Medical Care Health care in the United States Health care in the United States is provided by many separate legal entities 实体. primarily provided by the private sector Public programs: Medicare医疗保险, Medicaid公共医疗补助制, the Childrens Health Insurance Program, the Veterans Health Administration third highest public healthcare expenditure per capita按人口平均计算 Many have argued that the system does not deliver equivalent value for the money spent. Health care in the United States The US pays twice as much yet lags behind other wealthy nations. The total number of people in the US, whether insured or uninsured, who die because of lack of medical care was estimated in a 1997 analysis to be nearly 100,000 per year. Health care system in USA Public programs: Medicare covers the elderly (≥65) and disabled with a historical work record 老年保健医疗(制度) Medicaid is available for some, but not all of the poor 医疗补助(制度) State Childrens Health Insurance Program covers children of low-income families Veterans Health Administration directly provides health care to U.S. military veterans Tricare provides civilian health benefits for military personnel, military retirees, and their dependents, including some members of the Reserve Component 预备役人员 Together, these tax-financed programs cover 27.8% of the population and make the government the largest health insurer in the nation. History of health care reform in the US U.S. efforts to achieve universal coverage began with Theodore Roosevelt in 1912, and had been devoted by many administrations, e.g. that of Franklin D. Roosevelt, Jimmy Carter, Bill Clinton, George W. Bush etc. However, they all failed. In fact, many interest groups, including the private insurance industry and the pharmaceutical制药的 industry came out intensely against the reform. During the 2008 presidential election Barack Obama called for universal health care. After Obama assumes his office, he announced the health reform plan officially in June, 2009. Health ca